Provider Demographics
NPI: | 1376762013 |
---|---|
Name: | G.T. NON EMERGENCY MEDICAL TRANSPORTATION, INC |
Entity Type: | Organization |
Organization Name: | G.T. NON EMERGENCY MEDICAL TRANSPORTATION, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | GURGEN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | TONOYAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 888-808-7951 |
Mailing Address - Street 1: | 2500 E FOOTHILL BLVD |
Mailing Address - Street 2: | # 404 |
Mailing Address - City: | PASADENA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91107-3464 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2500 E FOOTHILL BLVD |
Practice Address - Street 2: | # 404 |
Practice Address - City: | PASADENA |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91107-3464 |
Practice Address - Country: | US |
Practice Address - Phone: | 888-808-7951 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-04-24 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | 27469 | 343900000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |